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<div id="right">
             <div class="Product_slender mt_none">
                  <span class="Information">直营店/加盟店</span><br />
                  <span class="b4">添加你的直营店/加盟店，联系我们，帮你联系线上顾客去你的直营店/加盟店。</span> 
                  <span class="contact">联系我们</span>
             </div>
             <form class="sort_form f15" id="form_product" action="" method="get">
                <div class="Registered f15 pl_160">
                    <h3>店铺所在地和类别</h3>
                    <p class="ml_70">
                      <span class="label"><b>*</b>所在地省市：</span>
                      <select>
                           <option value="">广东省</option>
                      </select>
                      <select>
                           <option value="">深圳市</option>
                      </select>
                    </p>
                    <p class="ml_70">
                      <span class="label"><b>*</b>详细地址：</span>
                       <input type="text" class="username" name="username" />
                    </p>
                    <p class="ml_70">
                      <span class="label"><b>*</b>类别：</span>
                      <select class="w315">
                           <option value="">营销店</option>
                      </select> 
                    </p>
               </div>
               <div class="Registered f15 pl_160" style="border-bottom:none;">
                    <h3>联系信息</h3>
                    <p class="ml_70">
                      <span class="label"><b>*</b>店铺名称：</span>
                      <input type="text" class="username" name="username" />
                    </p>
                    <p class="ml_70">
                      <span class="label"><b>*</b>联系人：</span>
                      <input type="text" class="username" name="username" />
                    </p>
                    <p class="ml_70">
                      <span class="label"><b>*</b>联系邮箱：</span>
                      <input type="text" class="username" name="username" />
                    </p>
                    <p class="ml_70">
                      <span class="label"><b>*</b>联系电话：</span>
                      <input type="text" class="username" name="username" />
                    </p>
                    <p class="ml_70">
                      <span class="label"><b>*</b>传真：</span>
                      <input type="text" class="username" name="username" />
                    </p>
                    <p class="ml_70 mt_10 f13 b4">
                      数字化专柜，让你的公司火起来，线上交易，如需安装，请联系销售人员。
                    </p>
                    <p class="sure_bot">
                      <a href="#" class="sure">保存</a>
                      <a href="#" class="Canceled">取消</a>
                    </p>
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